1. sports
2. wrestling

Little Muskies Wrestling Club
Regret weighs in tons!
Preview to Muscatine Wrestling Clinic
Featuring Muskies Head Coach Wade McLeod
OPEN TO THE PUBLIC – NO REGISTRATION FEE
The purpose of this clinic is to introduce children and parents to
the sport as well as the technique and culture of Muscatine’s
wrestling program. All ages thru 8th grade welcome!
Tuesday, October 14th, 2014
Takedown Session: 6pm-7:30pm
Registration for the 2014-2015
Season will be held at
West Middle School Front
Entryway
*Signs will be posted*
Tuesday October 14th from
5:00pm to 7:00pm
&
Thursday October 16th from
5:00pm to 7:00pm
All ages from Pre-K to 8th grade welcome regardless of
experience. Sportsmanship and respect for self and others
will be stressed.
Visit Us on the Web at www.muscatinewrestling.com
Braves: PreK-K Practice Mondays at MHS 6-7:15pm
Warriors: 1st-2nd Practice Tuesday/Thursday at MHS 6-7:30pm
Chiefs: 3rd-8th Practice Tuesday/Thursday at WMS 6-7:30pm
Discipline weighs in ounces…
Thursday, October 16th, 2014
Mat Wrestling Session: 6pm-7:30pm
West Middle School Wrestling Room
600 Kindler Avenue
Please bring water bottle to rehydrate
Camp Contact: Coach Wade McLeod
wade.mcleod@mcsdonline.org
Name:____________________________________________________
Address:__________________________________________________
City/State:___________________________________
Zip:________
Phone:(_______) ____________________________
Grade:______
I certify that the above registrant has my permission to participate
in the 2014 LMWC Clinic. I hereby attest to be responsible for
his/her behavior and participation. I will not hold West Middle
School, Muscatine Community School District, Little Muskies
Wrestling Club, or any of their agents responsible for any injuries
or accidents occurring during the clinic.
Parent / Guardian (print) ____________________________________
Signature_________________________________
Date__________
LITTLE MUSKIES WRESTLING CLUB 2014-2015
REGISTRATION FORM (Please Print Clearly) One Form Per Wrestler Please
Purpose / Code of Conduct
2014-2015
Name______________________________________ Grade_______________
Phone Number ____________________Age ______ Birth Date____________
Address_________________________________________________________
__________________________________________________Weight________
Previous Club or School:
________________________________________________________________
T-shirt Size
Circle One: YS
YM
YL
AS
AM
AL
XL
The Little Muskies Wrestling Club is a volunteer organization established to
develop and promote the sport of wrestling in Muscatine and the surrounding
area. The club provides an organization through which youth can participate
in amateur wrestling and develop skills, character, teamwork, and
sportsmanship through structured practice and competitive tournaments.
Code of Conduct:
o
XXL
Parent or
Guardian_________________________________________________________
o
Phone Number: ___________________________________________________
Parent Email Address: ______________________________________________
Emergency Contact: _______________________________________________
Emergency Contact Phone Number: __________________________________
o
Medical Conditions: ________________________________________________
1] Registration fees: $70.00 per member (Circle One)
$ 70.00
2] OR $30.00 per additional household member (Circle One)
$ 30.00
3] OR $30.00 per junior high wrestler member (Circle One)
$ 30.00
Grand Total $
_________
- Make checks payable to Little Muskies Wrestling Club (LMWC) I certify that the above registrant has my permission to participate in wrestling
with the Little Muskies Wrestling Club during the season 2014-2015. I hereby am
responsible for his/her behavior and for his/her participation. I will not hold
Muscatine Community School District or Little Muskies Wrestling Club or any of
their agents responsible or liable for any injuries or accidents occurring during the
2014-2015 season and I will be responsible for all damages to the school or
private property caused by the above entrant.
o
ALL WRESTLERS AND PARENTS must conduct themselves in a
respectable manner at all times. Each individual must exhibit good
citizenship and high moral conduct towards all athletes, other
parents, coaches, spectators, and officials.
The LITTLE MUSKIE WRESTLING CLUB WILL NOT
TOLERATE any form of physical or verbal abuse directed toward
any athlete, coach, official, member or staff member of tournament
in which we participate, or in our own practices and tournaments.
This will apply to all coaches, parents and athletes. REMOVAL from
the premise and/or expulsion from the club will be the consequence
for any such conduct.
Keeping in mind that wrestling is a contact sport; use your own good
judgment with any illness or injury. Skin lesions (i.e. ringworm)
needs to be brought to the attention of the coach(es). Anyone who
contracts or is suspected of having the disease must see a physician
and will not be allowed to return to practice or tournament
participation until written release is obtained from the physician.
All parents or guardians and athletes must abide by these rules and
must sign a code of conduct form.
ATHLETE’S
SIGNATURE______________________________DATE_____________
PARENT’S
SIGNATURE______________________________DATE_____________
Parent/Guardian Signature________________________________________
You may mail this form in with your payment to Little Muskies Wrestling Club
c/o Jennifer Ribbink 106 Dillaway St. Muscatine IA 52761. Phone: 563-260-3779
Questions please contact Jennifer @ LittleMuskiesWrestlingClub@gmail.com
LITTLE MUSKIES WRESTLING
PARENT’S
SIGNATURE______________________________DATE_____________